Abstract
We report an otherwise healthy, fully immunised 15-year-old boy who was transferred to our Pediatric intensive care unit with 4 days of fever, dry cough, increased work of breathing and impending respiratory failure. Two days prior, amoxicillin/clavulanic acid was prescribed for lower airway symptoms resembling pneumonia. PCR of the nasopharyngeal swab revealed an active COVID-19 infection (Ct 19). The CT scan showed significant ground-glass opacities highly associated with COVID-19 (COVID-19 reporting and data system 4). Antibiotics were continued and chloroquine was given for 5 days. High-flow nasal cannula (HFNC) was started as respiratory support therapy with rapid decrease of tachypnoea and oxygen demand. HFNC was successfully stopped after 7 days. The patient made full clinical recovery. This case illustrates HFNC as a successful respiratory support therapy in a paediatric patient with an active COVID-19 pneumonia.
Original language | English |
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Article number | 239682 |
Number of pages | 4 |
Journal | BMJ case Reports |
Volume | 14 |
Issue number | 4 |
DOIs | |
Publication status | Published - 12 Apr 2021 |
Keywords
- Adolescent
- COVID-19/therapy
- Cannula
- Humans
- Intensive Care Units, Pediatric
- Male
- Noninvasive Ventilation
- Nose
- Oxygen Inhalation Therapy
- INFECTIONS
- paediatric intensive care
- pneumonia (respiratory medicine)